行为目标达成度理念下医院-社区-家庭联动督导模式在老年慢阻肺稳定期患者中的应用
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四川省卫生厅科研课题(120388);


Application of hospital-community-family linkage supervision model under the concept of behavioral goal attainment in elderly patients with stable COPD
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    摘要:

    目的:探讨行为目标达成度理念下医院-社区-家庭联动督导模式在老年慢性阻塞性肺疾病(COPD)稳定期患者中的应用效果。方法:收集在稳定期的107例老年COPD患者临床资料,根据护理措施的不同将患者分为督导组(行为目标达成度理念下医院-社区-家庭联动督导模式,n=54)和对照组(常规优质护理,n=53)。两组均实施至患者出院。对比两组患者遵医行为、肺功能、自我护理能力、生活质量。结果:干预后,督导组患者COPD肺康复训练知信行问卷各维度得分、肺功能水平、自我护理能力量表(ESCA)各维度得分、慢性阻塞性肺疾病评估测试(CAT)量表得分均高于对照组(P<0.05)。结论:对老年COPD稳定期患者实施行为目标达成度理念下医院-社区-家庭联动督导模式,能够有效提升患者的依从性,改善其肺功能,提高自我护理能力,改善生活质量。

    Abstract:

    Objective: To explore the application effect of implementing hospital-community-family linkage supervision model under the concept of behavioral goal attainment among elderly patients with stable chronic obstructive pulmonary disease (COPD). Methods: The clinical data of 107 elderly patients with stable COPD were collected. According to different nursing measures, the patients were divided into supervised group (n=54, hospital-community-family linkage supervision model under the concept of behavioral goal attainment) and control group (n=53, routine high-quality nursing). Both groups were nursed until the patients were discharged from hospital. The compliance behavior, pulmonary function, self-care ability and quality of life were compared between the two groups. Results: The scores of dimensions of COPD pulmonary rehabilitation training knowledge-attitude-practice questionnaire, pulmonary function level, scores of dimensions of exercise of self-care agency scale (ESCA) and score of COPD assessment test(CAT) in supervised group after intervention were higher than those in control group(P <0.05). Conclusion: Hospital-community-family linkage supervision model under the concept of behavioral goal attainment can effectively promote the compliance, improve the pulmonary function, enhance the self-care ability and improve the quality of life in elderly patients with stable COPD.

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刘尧慧;刘淼;刘纪锋;李翠铃.行为目标达成度理念下医院-社区-家庭联动督导模式在老年慢阻肺稳定期患者中的应用[J].川北医学院学报,2026,41(4):508-512.

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  • 在线发布日期: 2026-05-06
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